Training Session N&D 2008Training Session N&D 2008

Agenda Agenda I. Welcome and introductions

II. Child Development

A. Normal Child development

B. Delayed or Accelerated Development

III. Mental Health Definition

IV. PA Levels of Care

V. Questions

Normal Child and Adolescent Development

General Development

Physical Development

Social Development

Cognitive Development

Sexual Development

• Mental Retardation

• Learning Disabilities

• Psychiatric Disorders

• Experiential Events

Developmental Delays & Accelerated Development

Family Dynamics

• Domestic Violence and

Physical Abuse situations

• Sexual Abuse Situations

• Substance Abuse Situations

Definition

Mental Disorder or mental illness is a psychological or behavioral pattern that occurs in an individual and is thought to cause distress or disability that is not expected as part of normal development or culture.

Guidelines for diagnosis are listed in the International Statistical Classification of Diseases and Related Health Problems (ICD), the Diagnostic and Statistical Manual of Mental Disorders (DSM) and other manuals.

Common Psychiatric Diagnoses Attention Deficit / Hyperactivity DisorderConduct Disorder Oppositional Defiant DisorderAdjustment DisorderPost Traumatic Stress DisorderMajor Depressive EpisodeBi-Polar DisorderAttachment DisorderReactive Attachment Disorder

Levels of Care in PA Least restrictive and community based are your first line of defense. In schools, Guidance Counselors are the first step.

Services range can range from Outpatient to Inpatient settings

Team approach provides better results

Families should always be involved unless contraindicated by court.

Therapeutic Communication Non-Verbal Techniques (Silence, Nods, Facial expression, Eye contact, etc).

Encouraging and Eliciting techniques

• Minimal encouragements: “Uh-huh” “Go on” “I see”

• Door openers: “I’d like to hear more,” “Tell me about that,”

• Closed questions: “Do you like your teacher?”

• Open questions: ”How do you feel?” ”What happened next?”

Emotional First Aid / Emotional Acknowledgement / Drain Off

Active Listening / Reflective Listening – “You Seem …”, “Sounds Like you’re feeling …”,

I - Feel Messages – “I feel (emotion) when (behavior) happens

Therapeutic Communication

Behavior Change Techniques

• Managing the environment

• Prompting

• Caring gesture (hypodermic affection)

• Hurdle help

• Redirection

• Proximity

TCI TRAINING [28]

Wrap up

Questions about the training

Wrap up

Thank you and have a great day!